Chandler Clark, NP
NPI 1114632130ActiveIndividual· Nurse Practitioner, Neonatal· Kansas City, MO
Nurse Practitioner, Neonatal (NP) in Kansas City, Missouri, licensed in MO and VA, with an NPI issued in January 2023.
Overview
| NPI | 1114632130 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jan 16, 2023 |
| Last updated in NPPES | Feb 4, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Neonatal Primary | 363LN0000X | 2024036070 | MO |
| Nurse Practitioner, Neonatal | 363LN0000X | 0024185283 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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